Ms Ida Man Shan Lam, RD in Flushing, NY - Medicare Dietitian, Registered Provider

Ms Ida Man Shan Lam, RD is a medicare enrolled "Dietitian, Registered" provider in Flushing, New York. Her current practice location is 4110 Bowne St, Ste L3, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 961-1496.

Ms Ida Man Shan Lam is licensed to practice in New York (license number 1020937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407198724.

Contact Information

	Ms Ida Man Shan Lam, RD
	4110 Bowne St, Ste L3, Flushing, NY 11355-5606
	(718) 961-1496
	(718) 961-1494

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Ida Man Shan Lam
Gender	Female
Speciality	Dietitian, Registered
Location	4110 Bowne St, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407198724
Provider Enumeration Date: 03/25/2013
Last Update Date: 11/30/2018

Medicare PECOS Information:

PECOS PAC ID: 3476776022
Enrollment ID: I20140529000038

Medical Identifiers

Medical identifiers for Ms Ida Man Shan Lam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407198724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1020937 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Ida Man Shan Lam allows following entities to bill medicare on her behalf.

Provider Name	Da Nutrition Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689916934 PECOS PAC ID: 2567685118 Enrollment ID: O20140529000016

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ida Man Shan Lam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Ida Man Shan Lam, RD 4110 Bowne St, Ste L3, Flushing, NY 11355-5606 Ph: (718) 961-1496	Ms Ida Man Shan Lam, RD 4110 Bowne St, Ste L3, Flushing, NY 11355-5606 Ph: (718) 961-1496

Reviews and Comments

Dietitian, Registered in Flushing, NY

Newyork-presbyterian/queens Dietitian Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-886-7014 Fax: 516-437-4167
Gary Kwo, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6732 136th St, #b, Flushing, NY 11367 Phone: 949-395-3038
Everly Saenz, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-670-5000
Ms. Alison C Monti, RD,CSG,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11126 Corona Ave, Flushing, NY 11368 Phone: 516-317-0236
Sonya Shamalov, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14127 78th Rd Apt 2d, Flushing, NY 11367 Phone: 347-320-4835
Lydia Parker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1546 Fax: 516-437-4167
Juha Nam, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3323 Union St, Flushing, NY 11354 Phone: 718-670-0753

Ms Ida Man Shan Lam, RD - Medicare Dietitian in Flushing, NY